Employee Documents

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Forms

Form W-4

Form WH-4

Form I-9

Direct Deposit Authorization Form - IN

Direct Deposit Authorization Form - FL

Important Employee Information - IN

Important Employee Information - FL

Vacation Request

Profit Sharing Request

Profit Sharing Beneficiary Change Form

Employee Benefits

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Health Insurance

Unified Group Services

UGS Group Benefit Change Form

UGS Benefit Claim Form

UGS Prescription Deductible Out-of-Pocket Form

UGS Other Insurance Questionnaire

Life Insurance

American United Life

AUL Beneficiary Change Form

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FirstCare Clinic
1201 Piper Blvd. Suite 24
Naples, FL  34110
(239) 260-5307
Open: Mon.-Fri. 7am - 7pm & Sat. 9am - 12pm 

FirstCare Website

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Consolidate Appropriations Act Machine Readable File Link

Consolidated Appropriations Act

Employee Information

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Coronavirus Links

Click on these links for more information on COVID-19.

CDC Website

FMCRA Poster

Coronavirus Fact Sheet 1

Coronavirus Fact Sheet 2

Wash Your Hands for 20 Seconds!

Hand Hygiene

Coronavirus Live Well, Work Well

Coronavirus HR Insights

Coronavirus & the Workplace Bulletin

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Employee Rights

FMLA

This Organization Participates in E-Verify

USCIS E-Verify Website

Right to Work - English

Right to Work - Espanol

NLRA

Polygraph Protection Act

Alcohol & Drug-Free Worksite

EEOC - English

EEOC - Spanish

OSHA Job Safety & Health

Worker's Comp - FL

Worker's Comp - IN

IOSHA

IRS Withholding Calculator

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